engleski

Identification of patients with metabolic syndrome using different classifications – ethnic differences

Aim: To identify patients with metabolic syndrome (MS) using different classifications in developing country (Croatia). Methods: The research was conducted on 395 patients (155 male and 240 female) who were hospitalized during 3 years. The subjects were divided into group consisting of 264 diabetic mellitus type 2 (DM2) patients (mean age 64.32 ± 12.81 SD) and control group made up of 131 non-diabetic subjects (mean age 59.31 ± 16.50 SD), randomized according to their age and gender. Evaluating the presence of MS we used two classifications: The National Cholesterol Education Program-ATPIII (NCEP) and the new International Diabetes Federation (IDF). Results: From 395 patients, 271 (68.61%) satisfied the criteria for ATPIII classification, 221 (83.71%) having DM2 and 50 (38.17%) of them were in control group. But using the IDF classification, the number of patients with positive MS increased (80.03%), and 92.80% of them had DM2 with the significant rise within controls (60.31%). Both groups included male only. Using IDF in patients with DM2, assigned differences applied to new criteria for waist circumference and in control group the significant rise of patients with MS was assigned in relation to the value of fasting plasma glucose and waist circumference, in both sexes. Analyzing patients, there was no significant correlation between BMI value using ATP and IDF (P = 0.248). Conclusion: Using IDF classification of MS, which has stricter criteria especially for waist circumference, the identification of MS is becoming better and more significant even in the control group who are now included in the group with higher risk of developing cardiovascular diseases.

metabolic syndrome; classification

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